Field Reimbursement Manager - Midwest

The Field Reimbursement Manager supports patient and market access to Coloplast's Interventional Urology products by developing and executing reimbursement initiatives. This role works closely with sales teams, healthcare providers, decision makers and payers to address coding, coverage, and payment issues that impact patient access and product adoption. This role sits anywhere in the Midwest Region of the US. The Field Reimbursement Manager provides expert information to physicians, hospitals, and ambulatory surgery centers on reimbursement related to Interventional Urology Coloplast products. They provide accurate and objective information and materials to Health Care Professionals regarding Coloplast's technologies, including identifying coverage, codes, and billing options that may apply to relevant Interventional Urology procedures. The ideal candidate is patient-focused, knowledgeable about medical device reimbursement, and committed to ethical, compliant engagement with healthcare professionals and stakeholders.

Major Areas of Accountability

Collaborative Responsibilities

• Develop reimbursement tools and materials by contributing subject-matter input and supporting creation, refinement, and approval of content throughout the review process.
• Develop and Implement reimbursement strategies and tactics for Coloplast procedures to minimize or eliminate coding, coverage, and payment barriers
• Identify, triage, and resolve access barriers in collaboration with internal reimbursement support teams.
• Identify key issues and trends with commercial and government payers and determine and implement appropriate solutions
• Develop a monthly report of provider activities, including regional trends and developments related to appeals, denials, and approvals.
• Collaborate with Health Economics, Medical Affairs, Marketing, and Compliance teams.
• Participate in initiatives supporting new product launches and payment advocacy efforts.
• Ensure compliance with corporate and regulatory requirements.

Patient Assistance

• Serve as primary field-based expert for reimbursement, coding and coverage
• Educate administrators, billing managers, and healthcare providers on the accurate and objective use of HCPCS, CPT, ICD-10 codes, modifiers and documentation requirements
• Provide accurate and objective information and materials to HCPs (including administrators, billing managers and other HCPs) regarding Coloplast products, including coverage, codes, and billing options that may apply to Medicare, Medicaid, and commercial payers appropriate Medicare and other payor claims by providing accurate coverage policies and prior-authorization requirements
• Provide one-on-one and group training on prior authorization, claim submission, appeals and payment processes related to Interventional Urology Coloplast products.
• Deliver in-person and virtual reimbursement workshops and policy update and payer landscape sessions to internal and external customers.

• Coloplast employees are required to conduct business to the highest ethical and professional standards; comply with applicable laws and regulations, the Advamed Code of Ethics on Interactions with Healthcare Professionals, and company policies.
• Other duties as assigned.

Basic Qualifications

• Bachelor's degree with focus in life science, health economics, healthcare administration, or related field
• 5+ years of medical device/technology industry, pharmaceuticals, managed care and/or health related industry
• Strong understanding and application of principles and concepts in market access, reimbursement and/or health economics
• Experience related to the payer or healthcare provider decision makers (C-suite, administration) physicians, private practice managers.
• Strong business acumen; experience working with various business partners (Sales, Marketing, Medical Science Liaisons, Clinical Program Managers)
• Success in developing and executing strategies and tools that showcase the economic benefit of healthcare for specific therapies and products
• Experience working with healthcare stakeholders (payers, hospitals), trade associations, professional and medical organizations, and ability to develop mutually beneficial health economics initiatives
• Experience creating and giving presentations
• Familiarity with coverage, coding, and payment constructs for medical devices and associated services across all healthcare settings
• Knowledge and/or experience negotiating payer/provider contracts
• Willingness to travel up to 50%

At Coloplast, we believe in recognizing and rewarding the contributions of our employees. Our total rewards package is designed to support your well-being, foster your professional growth, and ensure a healthy work-life balance. Here is some of what you can expect:

• Health and Wellness: Comprehensive medical, dental, and vision insurance plans to keep you and your family healthy. Plus, access to company sponsored wellness programs and mental health resources, paid leave of absence for qualifying events and generous paid parental leave for both birthing and non-birthing parents.
• Financial Security: A competitive 401(k) plan with company match that vest immediately, financial planning services to help you secure your future, and corporate discount programs for goods and services.
• Work-Life Balance: Generous paid time off, flexible work hours, and flexible work arrangement options to help you balance your personal and professional life may be available.
• Professional Development: Opportunities for continuous learning and career advancement through training programs, mentorship, and tuition reimbursement.
• Recognition and Rewards: Recognition programs to celebrate achievements and contributions, including peer recognition, bonuses, awards, and special events.
• Community and Culture: A supportive work environment where everyone feels valued, and has a sense of belonging. Participate in team-building activities, volunteer opportunities, and company-sponsored events. Sustainability strategy that outlines our ambitions for how to run our company in a more sustainable way.
• Competitive Compensation: The compensation range for this position is $118,066 - $177,099. Actual compensation is influenced by a variety of factors including but not limited to skills, experience, qualifications, and geographic location. Hired candidates may be eligible to receive additional compensation in the form of bonuses and/or incentives.

Pursuing an ambitious growth agenda, Coloplast develops and markets products and services that make life easier for people with intimate healthcare needs. Employing about 16,000 people and with products available in more than 143 countries, we are one of the world s leading medical device companies. We are constantly growing our business and always looking for new ways to move forward - we explore, learn and look for new ways of doing things.

Visit us on Coloplast.com.

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Coloplast employees are required to conduct business to the highest ethical and professional standards; comply with applicable laws and regulations, the Advamed Code of Ethics on Interactions with Healthcare Professionals, and company policies.

Coloplast is committed to a policy of Equal Employment Opportunity (EEO) which means we employ and promote individuals based on their merits, regardless of race, color, religion, sex, national origin, age, disability, veteran status, pregnancy, sexual orientation, gender identity or expression, genetic information, marital status, citizenship status, status with regards to public assistance or any other protected classification.

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